Clinical Validation of Dysfunctional Ventilatory Weaning Response: The Spanish Experience

Abstract

Validation of DVWR for use in nursing clinical practice is supported. Early detection of predictive variables could help to identify DVWR and facilitate the diagnosis in the clinical practice.

Contexts for the Study of the Economic Influence of Nursing Diagnoses on Patient Outcomes

“…Within the context of this article, odds ratios may be used to determine the chances that a certain defining characteristic (sign or symptom) is associated with a given diagnosis. For example, Gimenez, Serrano, and Marin (2003) calculated odds ratios for each of the defining characteristics of dysfunctional ventilatory weaning, then ranked the defining characteristics according to the value of the odds ratio. Such research allows for the creation of a focused diagnostic assessment tool with prioritized signs and symptoms.…”

Cardiopulmonary Predicators of Dysfunctional Ventilator Weaning Response after Coronary Artery Bypass Graft

“…The selected CPI to predict DVWR in this research study included heart rate (HR), mean arterial blood pressure (MAP), central venous pressure (CVP), cardiac output (CO), respiratory rate (RR), mixed venous oxygen (SVO 2 ), oxygen saturation (54), pulmonary artery diastolic pressure (PAD), and pulmonary artery systolic pressure (PASP). The dependent variable of the study was DVWR, which is operationally defined as the condition in which the patient failed to wean from mechanical ventilation 8 hours after surgery (17,20,21,55,56).…”

“…Dysfunctional ventilator weaning response (DVWR) is defined as an "inability to adjust to lowered levels of mechanical ventilator support that interrupts and prolongs the weaning process" (17,20,21,55,56). Dysfunctional ventilator weaning response is a major problem among postoperative CABG patients.…”

Cardiopulmonary Predicators of Dysfunctional Ventilator Weaning Response after Coronary Artery Bypass Graft

“…It is associated with a lethal complication known as prolonged mechanical ventilation (PMV). Prolonged mechanical ventilation is defined as a condition in which the postoperative CABG patient is unable to be extubated at 24 hours after surgery and needs mechanical ventilation support more than 24 hours (55,56).…”

“…The signs and symptoms of moderate DVWR include increase in blood pressure, increase in heart rate, increase in respiratory rate, mild cyanosis, decrease in oxygen saturation from the baseline, and excessive use of accessory muscles for respiration. The signs and symptoms of severe DVWR include deterioration in arterial blood gasses, increase in blood pressure, increase in heart rate, increase in respiratory rate, cyanosis, gasping, altered mental status, and decrease in oxygen saturation (55)(56)(57)(58).…”